Most Relevant Information
Provider Data
NPI Number: | 1003051228 |
Provider Name: | ANITA BRANDT |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 1459 |
Most Important Dates
Enumeration Date: | 12/03/2008 |
Last Updated: | 12/03/2008 |
Provider Practice Location
4390 BELLE OAKS DR
SUITE 120
N CHARLESTON
SC
294058559
Practice Location Phone/Fax
Phone: | 8665712700 |
Fax: |
Provider Mailing Location
4390 BELLE OAKS DR
SUITE 120
N CHARLESTON
SC
294058559
Provider Mailing Phone/Fax
Phone: | |
Fax: |